Center on Community Accessibility, Oregon Health & Science University, Portland, OR 97239, USA.
Disabil Health J. 2011 Oct;4(4):254-61. doi: 10.1016/j.dhjo.2011.06.003.
People with disabilities face a range of health disparities, including increased risk for preventable health problems. Thus, health promotion efforts addressing the reduction of risk factors are especially important for this population.
This study examined changes in health behaviors among adults with disabilities following participation in the Healthy Lifestyles for People with Disabilities health promotion program. It was hypothesized that intervention participants would demonstrate significant increases in healthy behaviors in areas such as health responsibility, physical activity, nutrition, stress management, interpersonal relationships, and spiritual growth while controls would not show significant change.
Participants (n = 95) were randomly assigned to the intervention or to a wait-list. After initially serving as controls, wait-list members later received the intervention as well. A measure of health behaviors was completed at baseline, 4 months, 7 months, and 10 months.
Health behavior scores of immediate intervention participants increased significantly (p <.001) while the scores of wait-list members showed no significant change. After subsequently attending a Healthy Lifestyles workshop, scores of wait-list participants also increased significantly (p = .001).
The Healthy Lifestyles intervention appears to be successful in helping adults with disabilities increase healthy behaviors.
残疾人面临一系列健康差距，包括预防保健问题的风险增加。因此，针对减少风险因素的健康促进工作对这一人群尤为重要。
本研究考察了参加残疾人健康促进计划“健康生活方式”后，残疾成年人健康行为的变化。假设干预组在健康责任、身体活动、营养、压力管理、人际关系和精神成长等方面的健康行为会显著增加，而对照组则不会有显著变化。
参与者（n=95）被随机分配到干预组或候补名单组。候补名单成员最初作为对照组，之后也接受了干预。在基线、4 个月、7 个月和 10 个月时完成健康行为量表。
立即参加干预的参与者的健康行为得分显著增加（p<0.001），而候补名单成员的得分没有显著变化。随后参加“健康生活方式”研讨会后，候补名单参与者的得分也显著增加（p=0.001）。
“健康生活方式”干预似乎成功地帮助残疾成年人增加了健康行为。
